Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery

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Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery. / Tsilimparis, Nikolaos; Debus, E Sebastian; Wipper, Sabine; Carpenter, Sebastian; Lohrenz, Christina; Kölbel, Tilo.

in: J VASC SURG, Jahrgang 63, Nr. 3, 03.2016, S. 815-818.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{1550290fc6ae4003b454cabf1549fca3,
title = "Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery",
abstract = "Proximal displacement of thoracic aortic endografts is a catastrophic adverse event, which rarely occurs but is associated with extremely high morbidity and mortality. We describe herein the case of a patient with accidental proximal displacement of a thoracic endograft with occlusion of all supra-aortic branches, successfully rescued by the combination of three advanced endovascular techniques: (1) aggressive pull-back maneuver with a compliant balloon; (2) establishment of an arterio-arterial temporary shunt to the occluded carotid artery over sheaths; and (3) in-situ fenestration of the occluded carotid artery. ",
keywords = "Aneurysm, Dissecting/diagnosis, Angioplasty, Balloon, Aortic Aneurysm, Thoracic/diagnosis, Aortography/methods, Blood Vessel Prosthesis/adverse effects, Blood Vessel Prosthesis Implantation/adverse effects, Carotid Artery, Common/diagnostic imaging, Carotid Stenosis/diagnosis, Endovascular Procedures/adverse effects, Foreign-Body Migration/diagnosis, Humans, Male, Middle Aged, Regional Blood Flow, Reoperation, Stents/adverse effects, Tomography, X-Ray Computed, Treatment Outcome, Vascular Patency",
author = "Nikolaos Tsilimparis and Debus, {E Sebastian} and Sabine Wipper and Sebastian Carpenter and Christina Lohrenz and Tilo K{\"o}lbel",
note = "Copyright {\textcopyright} 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.",
year = "2016",
month = mar,
doi = "10.1016/j.jvs.2014.05.043",
language = "English",
volume = "63",
pages = "815--818",
journal = "J VASC SURG",
issn = "0741-5214",
publisher = "Mosby Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery

AU - Tsilimparis, Nikolaos

AU - Debus, E Sebastian

AU - Wipper, Sabine

AU - Carpenter, Sebastian

AU - Lohrenz, Christina

AU - Kölbel, Tilo

N1 - Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

PY - 2016/3

Y1 - 2016/3

N2 - Proximal displacement of thoracic aortic endografts is a catastrophic adverse event, which rarely occurs but is associated with extremely high morbidity and mortality. We describe herein the case of a patient with accidental proximal displacement of a thoracic endograft with occlusion of all supra-aortic branches, successfully rescued by the combination of three advanced endovascular techniques: (1) aggressive pull-back maneuver with a compliant balloon; (2) establishment of an arterio-arterial temporary shunt to the occluded carotid artery over sheaths; and (3) in-situ fenestration of the occluded carotid artery.

AB - Proximal displacement of thoracic aortic endografts is a catastrophic adverse event, which rarely occurs but is associated with extremely high morbidity and mortality. We describe herein the case of a patient with accidental proximal displacement of a thoracic endograft with occlusion of all supra-aortic branches, successfully rescued by the combination of three advanced endovascular techniques: (1) aggressive pull-back maneuver with a compliant balloon; (2) establishment of an arterio-arterial temporary shunt to the occluded carotid artery over sheaths; and (3) in-situ fenestration of the occluded carotid artery.

KW - Aneurysm, Dissecting/diagnosis

KW - Angioplasty, Balloon

KW - Aortic Aneurysm, Thoracic/diagnosis

KW - Aortography/methods

KW - Blood Vessel Prosthesis/adverse effects

KW - Blood Vessel Prosthesis Implantation/adverse effects

KW - Carotid Artery, Common/diagnostic imaging

KW - Carotid Stenosis/diagnosis

KW - Endovascular Procedures/adverse effects

KW - Foreign-Body Migration/diagnosis

KW - Humans

KW - Male

KW - Middle Aged

KW - Regional Blood Flow

KW - Reoperation

KW - Stents/adverse effects

KW - Tomography, X-Ray Computed

KW - Treatment Outcome

KW - Vascular Patency

U2 - 10.1016/j.jvs.2014.05.043

DO - 10.1016/j.jvs.2014.05.043

M3 - SCORING: Journal article

C2 - 25080881

VL - 63

SP - 815

EP - 818

JO - J VASC SURG

JF - J VASC SURG

SN - 0741-5214

IS - 3

ER -